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afern

Gastric Sleeve Patients
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Everything posted by afern

  1. I started my journey in November 2014 (first dr appt) and completed the program (3 nutrition appts, 3 physical therapy apps, 3 phys appts) and meet with the Dr on February 7, 2014. The Dr's office submitted my paper work to Aetna the last week of February and on March 7th I received a denial letter. I called the insurance company to obtain the details behind the denial. They told me that I gained weight in the 90 day program. I actually did not gain weight during my 90 day I lost about 2 pounds. Come to find out the insurance company was using a weight from October 2013. I called the Dr's office to try and find out more details and they are not sure about the October weight or where it came from. I am so frustrated as I have followed the program and have a bmi of 40, sleep apnea, and pcos. The Dr's office has appealed and submitted the paper work on March 11th. Has anyone received an approval after a denial letter due to an incorrect weight? How long does the Aetna appeal process take?

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